<style>
    #peccancyChargeOffilne-edit  .layui-form-label{
        width: 94px;
    }
    #peccancyChargeOffilne-edit  .layui-input-block{
        margin-left: 124px;
    }
</style>
<div class="febs-container" id="peccancyChargeOffilne-edit">
    <div class="febs-open-body">
        <form class="layui-form" action="" lay-filter="peccancyChargeOffilne-edit-form">
            <div class="layui-form-item febs-hide">
                <label class="layui-form-label febs-form-item-require">id：</label>
                <div class="layui-input-block">
                    <input type="text" name="informationId" class="layui-input">
                </div>
            </div>
            <div class="layui-form-item">
                <div class="layui-col-md6">
                <label class="layui-form-label febs-form-item-require">收款人姓名：</label>
                    <input type="text" name="chargeUserId" class="layui-input febs-hide" >
                    <div class="layui-input-block layui-input-icon-container" style="position: relative">
                        <input type="text" name="chargeRealName" autocomplete="off"
                               class="layui-input " lay-verify="required"
                               minlength="2" maxlength="10" disabled placeholder="请选择收款人姓名">
                        <div class="layui-input-suffix" id="addBtn">
                            <i class="layui-icon layui-icon-add-1"></i>
                        </div>
                    </div>
                </div>
            </div>
            <div class="layui-form-item">
                <div class="layui-col-md6">
                    <label class="layui-form-label febs-form-item-require">收款时间：</label>
                    <div class="layui-input-block">
                        <input type="text" name="chargeDate" id="febs-form-group-date" lay-verify="required"
                               class="layui-input"  placeholder="请选择收款时间" >
                    </div>
                </div>
            </div>




            <div class="layui-form-item">
                <div class="layui-col-md12">
                    <label class="layui-form-label febs-form-item-require">收款备注：</label>
                    <div class="layui-input-block">
                        <textarea type="text" name="chargeRemark" autocomplete="off" class="layui-textarea" minlength="2"
                                  maxlength="800" placeholder="请输入收款备注" lay-verify="required"></textarea>
                    </div>
                </div>
            </div>

            <div class="layui-form-item febs-hide">
                <button class="layui-btn" lay-submit="" lay-filter="peccancyChargeOffilne-edit-form-submit" id="submit"></button>
                <button type="reset" class="layui-btn" id="reset"></button>
            </div>
        </form>
    </div>
</div>
<script data-th-inline="javascript">
    var chargeUser = [[${chargeUser}]];
</script>
<script th:src="@{/febs/js/peccancy/peccancyChargeRecord/peccancyChargeOffline.js(v=1)}"></script>